Internal Medicine, Soma Central Hospital, Soma, Fukushima 976-0016, Japan.
Navitas Clinic, Tachikawa, Tokyo 190-0023, Japan.
Public Health. 2018 Jun;159:95-98. doi: 10.1016/j.puhe.2018.02.005. Epub 2018 Mar 19.
In Japan, the proportion of female doctors and elderly doctors is increasing as in other countries. We investigated the relationship between doctors' demographic changes and their geographical distribution.
A national database study.
We assessed trends in unequal geographical distribution of the number of doctors by sex and age from 2004 to 2014 in Japan.
The Gini coefficient values for the number of female doctors (0.18) were larger than those for male doctors across all generations (0.13-0.14). The Gini coefficient values for the number of elderly doctors aged 60 years and older (male: 0.12, female: 0.18-0.23) were larger than those for majority age groups aged 40-59 years (male: 0.10, female: 0.16-0.17).
The persisting geographical maldistribution of doctors may be associated with demographic changes, such as increase in the number of female doctors.
与其他国家一样，日本的女医生和老年医生的比例也在增加。我们调查了医生人口结构变化与地理分布之间的关系。
全国数据库研究。
我们评估了 2004 年至 2014 年日本按性别和年龄划分的医生数量分布不均的趋势。
各代女性医生（0.18）的基尼系数值均大于男性医生（0.13-0.14）。60 岁及以上老年医生人数的基尼系数值（男性：0.12，女性：0.18-0.23）大于 40-59 岁的大多数年龄组（男性：0.10，女性：0.16-0.17）。
医生持续存在的地理分布不均可能与人口结构变化有关，例如女医生人数的增加。
